Distinguished Lecturer Nomination Form
Sponsoring Technical Committee
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First Name
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Last Name
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Affiliation
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Affiliation Type
Affiliation Type
Academia
Academia
Government
Government
Industry
Industry
Email Address
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Phone Number (w/ Country Code)
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Webpage URL
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Short Biography
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Limit to 200 words
RAS Geographic Region
RAS Geographic Region
Region 1 (Americas)
Region 1 (Americas)
Region 2 (Europe, Middle East & Africa)
Region 2 (Europe, Middle East & Africa)
Region 3 (Asia & Pacific)
Region 3 (Asia & Pacific)
Gender
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Title of Talk #1
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Abstract of Talk #1
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Limit to 200 words
Title of Talk #2
Abstract of Talk #2
Limit to 200 words
Attachments
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Include: -Photo -CV
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Nominator's Name
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Nominator's Email Address
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Nomination Date
*
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